| NPI | 1427055102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX J8112) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX J8112) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A48234) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2024-03-20 |